Provider Demographics
NPI:1508976630
Name:ALABAMA REHAB WORKS, INC
Entity Type:Organization
Organization Name:ALABAMA REHAB WORKS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOVATER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:256-760-0032
Mailing Address - Street 1:118 HELTON CT
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1465
Mailing Address - Country:US
Mailing Address - Phone:256-760-0032
Mailing Address - Fax:256-760-0032
Practice Address - Street 1:118 HELTON CT
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1465
Practice Address - Country:US
Practice Address - Phone:256-760-0032
Practice Address - Fax:256-760-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL262225100000X
AL480225100000X
AL1128225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL60651Medicare UPIN
AL60651Medicare ID - Type Unspecified